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Carcinoma of the floor of the mouth
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ABSTRACTS OF CURRENT LITERATURE Carcinoma of the Floor of the Mouth. Richard
Thomas
Barton.
California
Med.
96: 381,
June, 1962. Approximately 300 men and 50 women die annually in the United States of cancer arising in the floor of the mouth. The management of 33 cases of squamous-cell carcinoma of the floor of the mouth is described. Treatment varies according to the anatomic extent of the tumor. Superficial lesions are treated by wide local excision. Infiltrating lesions or those involving adjacent structures are treated by monoblock resection of the floor of the mouth with an ipsilateral or bilateral suprahyoid dissection. In the presence of clinically positive cervical nodes, a monoblock resection with a radical neck dissection is employed. The author suggests that prophylactic complete neck dissection would not seem to be indicated in cases of cancer of the floor of the mouth without clinical involvement of regional nodes. Carcinoma of the Oral Cavity. Anthony P. Monaco, New England J. M. 266: 575, March, 1962.
Mortimer
Buckley,
and John W. Raker.
The principal method of therapy was surgical extirpation of both the primary lesion and the cervical matastases. Prophylactic neck dissections were seldom performed. The over-all five-year survival rate of the 167 patients was 45 per cent. There was a direct relation between the size of the tumor and the incidence of metastases, as well as the ultimate survival. The data in these studies suggest that microscopic lymph node metastases are more readily curable than metastases that have progressed to clinical enlargement. The authors recommend that prophylactic neck dissection be performed on patients with tumors 1 em. or greater in size. There were 160 cases between 1946 and 1956.
The Clinidal Course of Actinomycotic Canad. J. Surg. 5: 33, January,
Infections.
B. W. Spilsbury
aud F. R. C. Johnstone.
1962.
Actino,myces bovis is a normal habitant of the oral cavity, and infection is usually from endogenous sources. The outstanding feature of aetinomycotic infection is the intense fibrosis that surrounds the abscesses and makes the actual infection difficult to approach by antibiotics. It is this intense fibrosis that makes large doses of antibiotics necessary initially and also is responsible for the need for long-term antibiotic management to prevent relapse. Culture of the actinomyces required anaerobic technique. Penicillin, given in huge doses, is the antibiotic of choice.
Osseous Actinomycosis Barton.
of the Head ami Neck. M. H. Nathan,
Am. J. Roentgenol.
87: 1048, June,
Actinomycosis is reported in four maxilla, and one involving the mandible
cases-two in the and the maxilla. 639
W. Paul Radman,
and H. L.
1962. mandible,
one involving
the
.
.
OF THE .
.
.
.
LITERATURE .
.
.
.
.
.
.
..*.......
ABSTRACTS OF CURRENT LITERATURE Carcinoma of the Floor of the Mouth. Richard
Thomas
Barton.
California
Med.
96: 381,
June, 1962. Approximately 300 men and 50 women die annually in the United States of cancer arising in the floor of the mouth. The management of 33 cases of squamous-cell carcinoma of the floor of the mouth is described. Treatment varies according to the anatomic extent of the tumor. Superficial lesions are treated by wide local excision. Infiltrating lesions or those involving adjacent structures are treated by monoblock resection of the floor of the mouth with an ipsilateral or bilateral suprahyoid dissection. In the presence of clinically positive cervical nodes, a monoblock resection with a radical neck dissection is employed. The author suggests that prophylactic complete neck dissection would not seem to be indicated in cases of cancer of the floor of the mouth without clinical involvement of regional nodes. Carcinoma of the Oral Cavity. Anthony P. Monaco, New England J. M. 266: 575, March, 1962.
Mortimer
Buckley,
and John W. Raker.
The principal method of therapy was surgical extirpation of both the primary lesion and the cervical matastases. Prophylactic neck dissections were seldom performed. The over-all five-year survival rate of the 167 patients was 45 per cent. There was a direct relation between the size of the tumor and the incidence of metastases, as well as the ultimate survival. The data in these studies suggest that microscopic lymph node metastases are more readily curable than metastases that have progressed to clinical enlargement. The authors recommend that prophylactic neck dissection be performed on patients with tumors 1 em. or greater in size. There were 160 cases between 1946 and 1956.
The Clinidal Course of Actinomycotic Canad. J. Surg. 5: 33, January,
Infections.
B. W. Spilsbury
aud F. R. C. Johnstone.
1962.
Actino,myces bovis is a normal habitant of the oral cavity, and infection is usually from endogenous sources. The outstanding feature of aetinomycotic infection is the intense fibrosis that surrounds the abscesses and makes the actual infection difficult to approach by antibiotics. It is this intense fibrosis that makes large doses of antibiotics necessary initially and also is responsible for the need for long-term antibiotic management to prevent relapse. Culture of the actinomyces required anaerobic technique. Penicillin, given in huge doses, is the antibiotic of choice.
Osseous Actinomycosis Barton.
of the Head ami Neck. M. H. Nathan,
Am. J. Roentgenol.
87: 1048, June,
Actinomycosis is reported in four maxilla, and one involving the mandible
cases-two in the and the maxilla. 639
W. Paul Radman,
and H. L.
1962. mandible,
one involving
the